Challenge of the Week / Hand & Wrist / 08.27.20

A patient with Ollier disease undergoes reconstruction of numerous phalangeal and metacarpal deformities via corticotomy and enchondroma excision. Following the procedure, he heals well with an improvement in function. Which of the following accurately describes the need for further imaging or monitoring for this patient?
    • Yearly radiographs and pelvic magnetic resonance imaging to identify any malignant transformation
    • Surveillance imaging, including plain radiographs of the affected body part and cross-sectional imaging of the chest and abdomen, are indicated annually to monitor for transformation to chondrosarcoma.

    • No further imaging is necessary
    • Yearly surveillance imaging is necessary to monitor for malignant transformation.

    • A monthly computed tomography scan of the brain is indicated
    • Yearly surveillance imaging is necessary to monitor for malignant transformation. Computed tomography of the brain is not a part of the algorithm.

  • An ultrasound of the abdomen is indicated every 5 years
  • Yearly surveillance imaging is necessary to monitor for malignant transformation. Ultrasound of the abdomen is not a part of the algorithm.

 

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